# ASCENSION MEDICAL GROUP MICHIGAN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HENRY FORD SEMI MEDICAL GROUP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255378139
- **Authorized official:** MS. RACHEL R PERRY (MANAGER)
- **Authorized official phone:** (248) 221-1918

## Contact information

- **Practice address:** 15855 19 MILE RD, CLINTON TOWNSHIP, MI 48038-3504
- **Practice address phone:** (248) 680-8000
- **Practice address fax:** (248) 292-3852
- **Mailing address:** PO BOX 14129, BELFAST, ME 04915-4032
- **Mailing address phone:** (248) 680-8000
- **Mailing address fax:** (248) 292-3852

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207QA0000X | Adolescent Medicine (Family Medicine) Physician | — | NULL | — |
| 207QA0000X | Adolescent Medicine (Family Medicine) Physician | — | — | — |
| 207QA0505X | Adult Medicine Physician | — | NULL | — |
| 207QA0505X | Adult Medicine Physician | — | — | — |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | — | NULL | — |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 207RA0000X | Adolescent Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RA0000X | Adolescent Medicine (Internal Medicine) Physician | — | — | — |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |

## Other

- **Enumeration date:** 06/01/2006
- **Last updated:** 04/16/2025